Attitudes towards patient safety culture among pediatric nurses at government tertiary hospital in Vietnam

Authors

  • Nguyen Han Thi Ngoc Can Tho University , Viet Nam
  • Nguyen Nhi Thi Yen Can Tho University, Viet Nam
  • Nguyen Duyen Thi My Can Tho University , Viet Nam
  • Tuan Van Nguyen Can Tho University , Viet Nam
  • Wantonoro Universitas Aisyiyah Yogyakarta, Indonesia https://orcid.org/0000-0001-9662-6427
  • Lydia T. Manahan UP Manila Collegeof Nursing, Philippines
  • Hsiu-Ling Yang Chang Gung University, Taiwan, Province of China

DOI:

https://doi.org/10.31101/jkk.3691

Keywords:

attitude; patient safety; pediatric nurses; safety culture; Vietnamese

Abstract

Pediatric patients are vulnerable to medication errors. Nurses have essential roles in patient safety and their quality of care. Therefore, nurses' attitudes regarding safety culture help nurses gain a profound insight into patient safety problems as well as potential solutions to cope with them. Motivating nursing professionals to understand safety culture and how they act about patient safety is one of the first steps to improving patient safety in healthcare institutions. This study aims to investigate attitudes towards patient safety culture among pediatric nurses and related factors. A cross-sectional descriptive correlational design was used with a sample size of 105 pediatric nurses at a selected government hospital in the Mekong Delta, Vietnam. Nurses’ attitudes towards patient safety culture were examined using a 4-likert questionnaire including 30 items divided into six subscales. Data analysis was performed in SPSS Version 26.0 using descriptive statistics and analysis of variance (ANOVA). The study findings showed that the overall mean score of attitude towards patient safety culture was 3.30 (SD = 0.45). Among subscales of attitudes, teamwork climate had the lowest mean scores. There were statistically significant associations between the level of education, experience, and nurses’ attitudes. According to the results, nurses’ attitudes regarding patient safety culture were good. However, there were some aspects that should be enhanced. It is strongly recommended that specific training interventions be performed to enhance the teamwork climate in the hospital.

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References

Alaqeli, E., & Altarhuni, A. (2021). Assessment of Patient Safety Culture at intensive care units in public hospitals in Benghazi from the health care professional’s perspective | AlQalam Journal of Medical and Applied Sciences. AlQalam Journal of Medical and Applied Sciences, 4(2). https://www.ajol.info/index.php/ajmas/article/view/218338

Al-Mugheed, K., Bayraktar, N., Al-Bsheish, M., AlSyouf, A., Jarrar, M., AlBaker, W., & Aldhmadi, B. K. (2022). Patient Safety Attitudes among Doctors and Nurses: Associations with Workload, Adverse Events, Experience. Healthcare (Basel, Switzerland), 10(4), 631. https://doi.org/10.3390/healthcare10040631

Alzahrani, N., Jones, R., Rizwan, A., & Abdel-Latif, M. E. (2019). Safety attitudes in hospital emergency departments: A systematic review. International Journal of Health Care Quality Assurance, 32(7), 1042–1054. https://doi.org/10.1108/IJHCQA-07-2018-0164

Audet, L.-A., Bourgault, P., & Rochefort, C. M. (2018). Associations between nurse education and experience and the risk of mortality and adverse events in acute care hospitals: A systematic review of observational studies. International Journal of Nursing Studies, 80, 128–146. https://doi.org/10.1016/j.ijnurstu.2018.01.007

Aydemir, A., & Koç, Z. (2023). Patient safety culture and attitudes among emergency care unit nurses in Türkiye. Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee

Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit, 29(3), 195–204. https://doi.org/10.26719/emhj.23.026

Bante, A., Mersha, A., Aschalew, Z., & Ayele, A. (2023). Medication errors and associated factors among pediatric inpatients in public hospitals of gamo zone, southern Ethiopia. Heliyon, 9(4), e15375. https://doi.org/10.1016/j.heliyon.2023.e15375

Baraki, Z., Abay, M., Tsegay, L., Gerensea, H., Kebede, A., & Teklay, H. (2018). Medication administration error and contributing factors among pediatric inpatient in public hospitals of Tigray, northern Ethiopia. BMC Pediatrics, 18(1), 321. https://doi.org/10.1186/s12887-018-1294-5

Bell, T., Sprajcer, M., Flenady, T., & Sahay, A. (2023). Fatigue in nurses and medication administration errors: A scoping review. Journal of Clinical Nursing, 32(17–18), 5445–5460. https://doi.org/10.1111/jocn.16620

Berkery, E., Tiernan, S., & Morley, M. (2014). The relationship between gender role stereotypes and requisite managerial characteristics: The case of nursing and midwifery professionals. Journal of Nursing Management, 22(6), 707–719. https://doi.org/10.1111/j.1365-2834.2012.01459.x

Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2020). Improved Safety Culture and Teamwork Climate Are Associated With Decreases in Patient Harm and Hospital Mortality Across a Hospital System. Journal of Patient Safety, 16(2), 130–136. https://doi.org/10.1097/PTS.0000000000000251

Biresaw, H., Asfaw, N., & Zewdu, F. (2020). Knowledge and attitude of nurses towards patient safety and its associated factors. International Journal of Africa Nursing Sciences, 13, 100229. https://doi.org/10.1016/j.ijans.2020.100229

Bottcher, B., Abu-El-Noor, N., Abuowda, Y., Alfaqawi, M., Alaloul, E., El-Hout, S., Al-Najjar, I., & Abu-El-Noor, M. (2019). Attitudes of doctors and nurses to patient safety and errors in medical practice in the Gaza-Strip: A cross-sectional study. BMJ Open, 9(8), e026788. https://doi.org/10.1136/bmjopen-2018-026788

Brennan-Bourdon, L. M., Vázquez-Alvarez, A. O., Gallegos-Llamas, J., Koninckx-Cañada, M., Marco-Garbayo, J. L., & Huerta-Olvera, S. G. (2020). A study of medication errors during the prescription stage in the pediatric critical care services of a secondary-tertiary level public hospital. BMC Pediatrics, 20(1), 549. https://doi.org/10.1186/s12887-020-02442-w

Brooks Carthon, J. M., Hatfield, L., Plover, C., Dierkes, A., Davis, L., Hedgeland, T., Sanders, A. M., Visco, F., Holland, S., Ballinghoff, J., Del Guidice, M., & Aiken, L. H. (2019). Association of Nurse Engagement and Nurse Staffing on Patient Safety. Journal of Nursing Care Quality, 34(1), 40. https://doi.org/10.1097/NCQ.0000000000000334

Camacho-Rodríguez, D. E., Carrasquilla-Baza, D. A., Dominguez-Cancino, K. A., & Palmieri, P. A. (2022). Patient Safety Culture in Latin American Hospitals: A Systematic Review with Meta-Analysis. International Journal of Environmental Research and Public Health, 19(21), 14380. https://doi.org/10.3390/ijerph192114380

Cathro, H. (2016). Navigating Through Chaos: Charge Nurses and Patient Safety. The Journal of Nursing Administration, 46(4), 208–214. https://doi.org/10.1097/NNA.0000000000000326

Cho, H., & Steege, L. M. (2021). Nurse Fatigue and Nurse, Patient Safety, and Organizational Outcomes: A Systematic Review. Western Journal of Nursing Research, 43(12), 1157–1168. https://doi.org/10.1177/0193945921990892

Cho, S., & Jang, S. J. (2021). Do Gender Role Stereotypes and Patriarchal Culture Affect Nursing Students’ Major Satisfaction? International Journal of Environmental Research and Public Health, 18(5), 2607. https://doi.org/10.3390/ijerph18052607

Durgun, H., & Kaya, H. (2018). The attitudes of emergency department nurses towards patient safety. International Emergency Nursing, 40, 29–32. https://doi.org/10.1016/j.ienj.2017.11.001

Elmontsri, M., Banarsee, R., & Majeed, A. (2018). Improving patient safety in developing countries – moving towards an integrated approach. JRSM Open, 9(11), 2054270418786112. https://doi.org/10.1177/2054270418786112

Elsous, A., Akbari Sari, A., AlJeesh, Y., & Radwan, M. (2017). Nursing perceptions of patient safety climate in the Gaza Strip, Palestine. International Nursing Review, 64(3), 446–454. https://doi.org/10.1111/inr.12351

Farzi, S., Moladoost, A., Bahrami, M., Farzi, S., & Etminani, R. (2017). Patient Safety Culture in Intensive Care Units from the Perspective of Nurses: A Cross-Sectional Study. Iranian Journal of Nursing and Midwifery Research, 22(5), 372–376. https://doi.org/10.4103/ijnmr.IJNMR_150_16

Feleke, S. A., Mulatu, M. A., & Yesmaw, Y. S. (2015). Medication administration error: Magnitude and associated factors among nurses in Ethiopia. BMC Nursing, 14(1), 53. https://doi.org/10.1186/s12912-015-0099-1

Feyissa, D., Kebede, B., Zewudie, A., & Mamo, Y. (2020). Medication Error and Its Contributing Factors Among Pediatric Patients Diagnosed with Infectious Diseases Admitted to Jimma University Medical Center, Southwest Ethiopia: Prospective Observational Study. Integrated Pharmacy Research & Practice, 9, 147–153. https://doi.org/10.2147/IPRP.S264941

Gaffney, T. A., Hatcher, B. J., & Milligan, R. (2016). Nurses’ role in medical error recovery: An integrative review. Journal of Clinical Nursing, 25(7–8), 906–917. https://doi.org/10.1111/jocn.13126

Harrison, R., Cohen, A. W. S., & Walton, M. (2015). Patient safety and quality of care in developing countries in Southeast Asia: A systematic literature review. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 27(4), 240–254. https://doi.org/10.1093/intqhc/mzv041

Jarrar, M., Al-Bsheish, M., Dardas, L. A., Meri, A., & Sobri Minai, M. (2020). Adverse events in Malaysia: Associations with nurse’s ethnicity and experience, hospital size, accreditation, and teaching status. The International Journal of Health Planning and Management, 35(1), 104–119. https://doi.org/10.1002/hpm.2822

Jarrar, M., Minai, M. S., Al-Bsheish, M., Meri, A., & Jaber, M. (2019). Hospital nurse shift length, patient-centered care, and the perceived quality and patient safety. The International Journal of Health Planning and Management, 34(1), e387–e396. https://doi.org/10.1002/hpm.2656

Kairytė, G., Gudaityte, J., Šimonytė, L., Pikčiūnaitė, E., & Macas, A. (2022). Assessment of Anaesthesia Nurses’ Attitude to Teamwork. Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences., 76, 382–386. https://doi.org/10.2478/prolas-2022-0059

Kanneganti, A., Tan, B. Y. Q., Nik Ab Rahman, N. H., Leow, A. S.-T., Denning, M., Goh, E. T., Lim, L. J. H., Sia, C.-H., Chua, Y. X., Kinross, J., Tan, M., Tan, L. F., Wan, Y. M., Sharma, A., Danuaji, R., Komal Kumar, R., Sheng, C. K., Kheng, C. P., Abdul Karim, S. S., … Ooi, S. B. S. (2022). Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: An Indo-Pacific regional cross-sectional study. Singapore Medical Journal, 64(11), 667–676. https://doi.org/10.11622/smedj.2022014

Khan, A., Furtak, S. L., Melvin, P., Rogers, J. E., Schuster, M. A., & Landrigan, C. P. (2016). Parent-Reported Errors and Adverse Events in Hospitalized Children. JAMA Pediatrics, 170(4), e154608. https://doi.org/10.1001/jamapediatrics.2015.4608

Konlan, K. D., & Shin, J. (2022). The status and the factors that influence patient safety in health care institutions in Africa: A systematic review. PLOS Global Public Health, 2(12), e0001085. https://doi.org/10.1371/journal.pgph.0001085

Liao, L.-M., Sun, X.-Y., Yu, H., & Li, J.-W. (2016). The association of nurse educational preparation and patient outcomes: Systematic review and meta-analysis. Nurse Education Today, 42, 9–16. https://doi.org/10.1016/j.nedt.2016.03.029

Malinowska-Lipień, I., Micek, A., Gabryś, T., Kózka, M., Gajda, K., Gniadek, A., Brzostek, T., & Squires, A. (2021). Nurses and physicians attitudes towards factors related to hospitalized patient safety. PLOS ONE, 16(12), e0260926. https://doi.org/10.1371/journal.pone.0260926

Moda, H. M., Dama, F. M., Nwadike, C., Alatni, B. S., Adewoye, S. O., Sawyerr, H., Doka, P. J. S., & Danjin, M. (2021). Assessment of Workplace Safety Climate among Healthcare Workers during the COVID-19 Pandemic in Low and Middle Income Countries: A Case Study of Nigeria. Healthcare (Basel, Switzerland), 9(6), 661. https://doi.org/10.3390/healthcare9060661

Mueller, B. U., Neuspiel, D. R., Fisher, E. R. S., & COUNCIL ON QUALITY IMPROVEMENT AND PATIENT SAFETY, COMMITTEE ON HOSPITAL CARE. (2019). Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics, 143(2), e20183649. https://doi.org/10.1542/peds.2018-3649

O’Dowd, A. (2018). Poor quality services are harming global drive to improve healthcare, experts warn. BMJ, 362, k3008. https://doi.org/10.1136/bmj.k3008

Saberi, M., Jamshidi, E., Rajabi, F., Seydali, E., & Bairami, F. (2017). Nurses’ Attitude toward Patient Safety Culture: A Cross-sectional Study of Hospitals in Tehran. Journal of Patient Safety and Quality Improvement, 5, 0. https://doi.org/10.22038/PSJ.2017.9037

Salih, S. A., Abdelkader Reshia, F. A., Bashir, W. A. H., Omar, A. M., & Ahmed Elwasefy, S. (2021). Patient safety attitude and associated factors among nurses at Mansoura University Hospital: A cross sectional study. International Journal of Africa Nursing Sciences, 14, 100287. https://doi.org/10.1016/j.ijans.2021.100287

Sasa, R. I. (2019). Male nurse: A concept analysis. Nursing Forum, 54(4), 593–600. https://doi.org/10.1111/nuf.12374

Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., Roberts, P. R., & Thomas, E. J. (2006). The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6(1), 44. https://doi.org/10.1186/1472-6963-6-44

Sonğur, C., Özer, Ö., Gün, Ç., & Top, M. (2018). Patient Safety Culture, Evidence-Based Practice and Performance in Nursing. Systemic Practice and Action Research, 31(4), 359–374. https://doi.org/10.1007/s11213-017-9430-y

Stalpers, D., de Brouwer, B. J. M., Kaljouw, M. J., & Schuurmans, M. J. (2015). Associations between characteristics of the nurse work environment and five nurse-sensitive patient outcomes in hospitals: A systematic review of literature. International Journal of Nursing Studies, 52(4), 817–835. https://doi.org/10.1016/j.ijnurstu.2015.01.005

Thu, N. T. H., Anh, B. T. M., Ha, N. T. T., Tien, D. N. T., Giang, P. H., Nga, T. T., Nam, N. H., & Hung, P. T. (2023). Health staff perceptions of patient safety and associated factors in hospitals in Vietnam. Frontiers in Public Health, 11, 1149667. https://doi.org/10.3389/fpubh.2023.1149667

Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028

World Health Organization. (2019). Quality and patient safety in Viet Nam. https://www.who.int/vietnam/health-topics/patient-safety

Wu, H.-H., Lee, Y.-C., Huang, C.-H., & Li, L. (2022). Healthcare professional’s perception of patient safety assessed by the hospital survey on patient safety culture in Taiwan: A systematic review. The TQM Journal, 35(3), 615–629. https://doi.org/10.1108/TQM-11-2021-0317

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Published

2024-06-24

How to Cite

Thi Ngoc, N. H., Thi Yen, N. N., Thi My, N. D., Nguyen, T. V., Wantonoro, Manahan, L. T., & Yang, H.-L. (2024). Attitudes towards patient safety culture among pediatric nurses at government tertiary hospital in Vietnam. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 20(1), 1–10. https://doi.org/10.31101/jkk.3691

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Vol. 20 No. 1 (2024): Juni

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Original Research

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